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Washington rates for HCPCS 72170

Radiologic Examination Pelvis 1/2 Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.50 / $180.45 / $593.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.51 / $11.39 / $27.56
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$23.64 / $54.70 / $410.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $35.22 / $76.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.95 / $11.10 / $25.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.35 / $23.65 / $48.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $52.21 / $59.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.04 / $13.45 / $16.22
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.06 / $37.06 / $37.06
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.47 / $341.91 / $434.49
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$100.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.35 / $67.16 / $242.70
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.55 / $19.80 / $77.59
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.96 / $46.80 / $172.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.44 / $373.15 / $498.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.04 / $53.50 / $90.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.69 / $15.12 / $25.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.62 / $37.51 / $65.48
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.31 / $63.28 / $164.40
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.36 / $18.79 / $290.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$22.94 / $42.19 / $290.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.31 / $58.58 / $83.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.36 / $18.12 / $23.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.94 / $41.72 / $61.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.15 / $54.50 / $92.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.61 / $54.40 / $60.30
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.72 / $16.45 / $17.00
Pacific Source
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$31.36 / $37.52 / $39.53
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.05 / $15.39 / $18.76
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.84 / $31.39 / $43.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $37.60 / $38.39
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.33 / $11.33 / $11.43
Premera BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$26.27 / $26.27 / $26.96
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.30 / $64.03 / $78.73
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.89 / $19.35 / $23.43
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.30 / $44.98 / $55.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.73 / $304.02 / $592.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $57.54 / $79.59
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.00 / $17.30 / $23.35
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.03 / $40.42 / $59.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $32.53 / $79.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.94 / $9.92 / $23.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.85 / $23.28 / $56.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.77 / $8.77 / $8.77
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.16 / $23.16 / $23.16